Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
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Volume 103, Issue 10
Displaying 1-11 of 11 articles from this issue
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Review article
Monthly report; Recent advances in clinical management of biliary diseases
Case Report
  • A case of localized AL-type amyloidosis of the stomach
    Takashi FUJISAWA, Osamu UCHIKOGA, Yasumichi SEKI, Keisuke KITAURA, Tos ...
    2006 Volume 103 Issue 10 Pages 1127-1133
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1127
    JOURNAL FREE ACCESS
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    A 78-year-old woman was admitted to our hospital for treatment of liver cirrhosis and an esophageal varix. Endoscopy revealed a protruding nodular lesion with a transparent smooth surface proximal to the pylorus, which was accompanied by a partly yellow-whitish spot. A depressed lesion with an even edge was found. Histologically, the protruding lesion and depressed lesion showed amyloid deposits, mainly in the mucosal layer. The lesions were found to correspond to AL type amyloidosis by immunochemical analysis. General examination showed no other amyloid deposits. Thus, we diagnosed localized amyloidosis of the stomach.
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  • A case of ulcerative colitis with hematuria and renal dystunction after leukocytapheresis
    Kiyoko MAKINO, Manabu MASUTANI, Shinichi SATO, Hirohide HAMAMOTO
    2006 Volume 103 Issue 10 Pages 1134-1138
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1134
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    A 53-year-old man had steroid-dependent ulcerative colitis. Leukocytapheresis (LCAP) was carried out to induce remission, but soon hematuria and renal dysfunction appeared. Since he had no autoimmune hemolytic anemia, and there was no possibility of his having had hemolytic uremic syndrome, it was considered that this hemolysis could have been caused by mechanical stimulation on the LCAP column, and then the hemolysate flowed into his body.
    We should be aware that hematuria might occur as a side effect of LCAP.
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  • A case of endocrine cell carcinoma of the ileum: sonographic findings and clinical outcome
    Toshihide HAMADA, Miwako TANAKA, Yoshimasa HASHIMOTO, Masami YAMAUCHI, ...
    2006 Volume 103 Issue 10 Pages 1139-1145
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1139
    JOURNAL FREE ACCESS
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    A 56-year-old man, who had been complaining of diarrhea for several months, was admitted for further examination of a hepatic tumor. A needle biopsy of the hepatic tumor suggested metastatic carcinoid tumor. The primary tumor was found in the ileum by extracorporeal sonographic examination and a barium meal study. We performed a partial excision of the ileum, lymph node resection, wedge biopsy of the liver, and catheterization from the right iliac artery to the hepatic artery for intraarterial chemotherapy. The pathological diagnosis was endocrine cell carcinoma of the ileum and local lymph nodes and hepatic metastasis. After surgery, the patient has been treated with continuous intraarterial infusion of CDDP and 5FU. The liver tumors almost disappeared. As of 20 months after the surgery, the patient is well and is being followed in the outpatient clinic.
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  • Two cases of intractable hepatic hydrothorax successfully treatedwith nasal CPAP
    Rie SAITO, Tsuyoshi RAI, Hironobu SAITO, Kazumichi ABE, Atsushi TAKAHA ...
    2006 Volume 103 Issue 10 Pages 1146-1151
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1146
    JOURNAL FREE ACCESS
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    Hepatic hydrothorax is often resistant to various treatments. A failure in the treatment for hepatic hydrothorax may be associated with poor prognosis. We report two cases of intractable hepatic hydrothorax successfully treated by combining chemical pleurodesis using OK-432 with nasal continuous positive airway pressure. Combination therapy may provide a minimally invasive and effective treatment for intractable hepatic hydrothorax.
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  • A case of relapsed ischemic colitis with colon cast-like stripped mucosa
    Yoshihiro ERIGUCHI, Seiji TSUNADA, Sadahiro AMEMORI, Kenichiro WATANAB ...
    2006 Volume 103 Issue 10 Pages 1152-1156
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1152
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    An 82-year-old woman who had 5 relapses of ischemic colitis was admitted with sudden lower abdominal pain. Colonoscopic examination performed on the 2nd day revealed colon cast-like stripped colonic mucosa in the lower portion of the descending colon. She was treaed conservatively. After 2 weeks, ischemic colitis healed, with slight residual stenosis.
    Most reports of colon cast indicated that colon cast was caused by abdominal aneurysm, operation, or external wound. The only predisposing conditions in this case were arteriosclerosis of abdominal aorta and chronic constipation. Arteriosclerosis and chronic constipation might be the important risk factors of ischemic colitis with colon cast and relapsing of ischemic colitis.
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  • A case of gallstone ileus which the cholecystoduodenal fistula closed spontaneouslyafter laparoscopic-assisted simple enterolithotomy
    Hitoshi OKUBO, Tatsuhiko NOGAWA, Masaaki JIBIKI
    2006 Volume 103 Issue 10 Pages 1157-1162
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1157
    JOURNAL FREE ACCESS
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    A 47-year-old woman complaining of diarrhea and vomiting was admitted on the suspicion of gallstone lieus 4 days after onset. Upper gastrointestinal radiography by Gastrografin® showed a cholecystoduodenal fistula. Laparoscopic-assisted simple enterolithotomy was performed. The omentum was severely adherent to the gall bladder and fistula, though biliary surgery was not performed. Without second look operation, for cholecystoduodenal fistula closed spontaneously.
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  • A case of recurrent biliary cystadenocarcinoma successfully treated with 5FU/CDDP systemic chemotherapy
    Satoshi IYAMA, Yasuo TAKAHASHI, Naoaki SHINTANI, Koshi FUJIKAWA, Syuni ...
    2006 Volume 103 Issue 10 Pages 1163-1168
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1163
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    We report a case of biliary cystadenocarcinoma which recurred 41 months postoperatively. A 60-year-old woman was admitted for further examination of multiple metastatic tumors and a large amount of ascites. Systemic administration of 5FU and CDDP caused her CEA level to decrease gradually and abdominal computed tomography revealed considerable reduction of the metastatic tumors and ascites. Since her general condition had improvedC chemotherapy was continued in the outpatient clinic.
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  • A case of the extrahepatic bile duct carcinoid tumor
    Haruyasu HONDA, Seiichi HAYASHI, Yasuhiro SEKIGUCHI, Toshihisa TSUKADA ...
    2006 Volume 103 Issue 10 Pages 1169-1175
    Published: 2006
    Released on J-STAGE: October 05, 2006
    DOIhttps://doi.org/10.11405/nisshoshi.103.1169
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    A 76-year-old man presented with back discomfort and jaundice. CT and MRI of the abdomen revealed a mass in the common bile duct. Cytology of the bile juice obtained by percutaneous transhepatic cholangiodrainage revealed class V. The patient underwent laparotomy and pancreatoduodenectomy. Pathology showed a carcinoid tumor of the biliary tract, 14×10mm in size. Grimelius staining demonstrated the presence of argyrophilic granules. On immunochemistry, the tumor stained positive for chromogranin A and synaptophysin. He had two liver metastases 8 months postoperatively.
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